| Southern Breeze Healthcare | |
|
4556 E Hwy 20 Suite 105 Niceville FL 32578 | |
| (910) 988-1326 | |
| Not Available |
| Full Name | Southern Breeze Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 4556 E Hwy 20, Niceville, Florida |
| Authorized Official Name and Position | Gary Bullard (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 9109881326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Breeze Healthcare 4556 E Hwy 20 Suite 105 Niceville FL 32578 Ph: (910) 988-1326 | Southern Breeze Healthcare 4556 E Hwy 20 Suite 105 Niceville FL 32578 Ph: (910) 988-1326 |
| NPI Number | 1376028563 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376028563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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